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Organization
TICETOWN PHARMACY & SURGICAL INC
Active
Organization
TICETOWN PHARMACY & SURGICAL INC
Active
Other names
The Wellness Center Pharmacy & Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVINI PATEL PHARM.D. (PRESIDENT)
(732) 679-3555
Entity
Organization
Contact information
Practice address
3117 US HIGHWAY 9, OLD BRIDGE, NJ 08857-2690
(732) 679-3555
(732) 679-6797
Mailing address
3117 US HIGHWAY 9, OLD BRIDGE, NJ 08857-2690
(732) 679-3555
(732) 679-6797
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00700600
NJ
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
12392
NC
3336C0004X
Compounding Pharmacy
034759
NY
3336L0003X
Long Term Care Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
08/18/2009
Last updated
07/19/2018
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